Medicare Enrolled
Dr. Francis Pecoraro, MD
Interventional Pain Medicine Physician · Wilmington, NC
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Pecoraro from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Pecoraro
Dr. Francis Pecoraro is an interventional pain medicine physician in Wilmington, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Pecoraro performed 18,012 Medicare services across 2,943 unique beneficiaries.
Between the years covered by Open Payments, Dr. Pecoraro received a total of $3,458 from 28 pharmaceutical and/or device companies across 279 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain medicine physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Pecoraro is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 4% volume in NC
$3,458 industry payments
Medicare Practice Summary
Medicare Utilization ↗18,012
Medicare services
Top 4% in NC for interventional pain medicine physician
2,943
Unique beneficiaries
$32
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~901 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
6,100 | $5 | $17 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
6,000 | $0 | $4 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
2,463 | $1 | $2 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
489 | $184 | $842 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
336 | $331 | $1,529 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
329 | $182 | $1,107 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
313 | $99 | $577 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
288 | $210 | $1,137 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
258 | $84 | $283 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
243 | $51 | $253 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
153 | $63 | $221 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
148 | $95 | $312 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
106 | $189 | $1,110 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
99 | $100 | $565 |
| Spinal nerve root injection with imaging guidance An injection of anesthetic or steroid medication into a single nerve root in the upper or middle spine. The procedure uses imaging guidance to ensure accurate placement. |
88 | $203 | $1,052 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
86 | $196 | $892 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
77 | $140 | $723 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
73 | $78 | $273 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
58 | $319 | $1,515 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
54 | $61 | $104 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
37 | $86 | $386 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
36 | $112 | $286 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
31 | $129 | $407 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
25 | $35 | $124 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
24 | $95 | $577 |
| Chemical nerve block for neck muscles Injection of a chemical agent to paralyze specific muscles on the side of the neck, excluding the voice box. |
21 | $94 | $471 |
| Additional spine nerve root injection with imaging An anesthetic and/or steroid medication is injected into an additional nerve root in the upper or middle spine. The procedure uses imaging guidance to ensure accurate placement. |
16 | $103 | $465 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
14 | $165 | $769 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
14 | $132 | $391 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
11 | $41 | $129 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
11 | $28 | $97 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
11 | $36 | $137 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$3,458
Total received (2018-2024)
Avg $494/year across 7 years
Bottom 45% in NC for interventional pain medicine physician
28
Companies
279
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,345 (96.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$113 (3.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$472
2023
$282
2022
$447
2021
$515
2020
$434
2019
$592
2018
$716
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$360
Medtronic, Inc.
$32
ABBVIE INC.
$29
Valinor Pharma, LLC
$19
Azurity Pharmaceuticals, Inc.
$18
Nevro Corp.
$15
Top 3 companies account for 89.2% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$1,912
Collegium Pharmaceutical, Inc.
$314
Daiichi Sankyo Inc.
$265
Ipsen Biopharmaceuticals, Inc
$113
BioDelivery Sciences International, Inc.
$110
PFIZER INC.
$100
Medtronic, Inc.
$72
Nevro Corp.
$53
Sentynl Therapeutics, Inc.
$49
RedHill Biopharma Inc.
$49
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$47
ABBVIE INC.
$40
ASSERTIO THERAPEUTICS, Inc.
$38
ARBOR PHARMACEUTICALS, INC.
$34
Forte Bio-Pharma LLC
$29
Horizon Therapeutics plc
$27
Pernix Therapeutics Holdings, Inc.
$25
Allergan, Inc.
$24
BOSTON SCIENTIFIC CORPORATION
$23
Valinor Pharma, LLC
$19
Boston Scientific Corporation
$18
Azurity Pharmaceuticals, Inc.
$18
Vertical Pharmaceuticals, LLC
$17
SCILEX PHARMACEUTICALS INC.
$16
Assertio Therapeutics, Inc.
$13
Allergan Inc.
$12
Egalet US Inc
$11
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$11
Top 3 companies account for 72.0% of all-time payments
Associated products mentioned in payments ›
BELBUCA · BOTOX · BUNAVAIL 2.1 mg 30-count box · COLOGUARD DNA CAPTURE REAGENTS · DUEXIS · DYSPORT · ETERNA · FLECTOR · GENERAL PAIN MANAGEMENT · Gralise · HORIZANT · Horizant · INTELLIS ADAPTIVESTIM · IONICRF · LORZONE · LYRICA · Levorphanol · MOVANTIK · Morphabond ER · Movantik · NALOCET · Nalocet · Neuromodulation Dspsbls and Accs · OCTRODE · Octrode SCS Leads · PENTA · PROCLAIM · Pacel Bipolar Pacing Catheter · Proclaim Family of SCS IPGs · Proclaim IPG · Protege Family of SCS IPGs · RELISTOR · RELISTOR ORAL · SCS IPGs · SCS leads · SPRIX · Senza · Senza Spinal Cord Stimulation System · UBRELVY · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · Xtampza ER · ZIPSOR · ZOHYDRO ER · ZTLido · Zipsor
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Interventional pain medicine physicians within 10 mi
5
Per 100K population
2.2
County median income
$72,892
Nearest hospital
WILMINGTON TREATMENT CENTER
6.2 mi
6.2 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Pecoraro is a mixed practice specialist, with above-average Medicare volume (top 4% in NC), with low-engagement industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Pecoraro experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Pecoraro performed 6,100 botox injection, per unit services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Pecoraro receive payments from pharmaceutical companies?
Yes. Dr. Pecoraro received a total of $3,458 from 28 companies across 279 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Pecoraro's costs compare to other interventional pain medicine physicians in Wilmington?
Dr. Pecoraro's average Medicare payment per service is $32. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Pecoraro) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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